Abstract | PURPOSE: METHODS: Prospective consecutive enrollment of women and age-matched (± 1 year) and uni-/bilateral hernia-matched male patients undergoing elective transabdominal preperitoneal hernia repair ( TAPP). Patients in the two groups received a similar anesthetic, surgical, and analgesic treatment protocol. RESULTS: Between August 2009 and August 2010, 25 women and 25 men undergoing elective TAPP were prospectively included in the analysis (n = 50) with no significant difference between groups in psychological status regarding anxiety, depression, and catastrophizing. On day 0, women had significantly more pain during rest (p = 0.015) and coughing (p = 0.012), discomfort (p = 0.001), and fatigue (0.020) compared with men. Additionally, cumulative overall postoperative pain during coughing, discomfort, and fatigue on day 0-3 was significantly higher in women compared with men (all p values < 0.05). Women required significantly more opioids (p = 0.015) and had a significantly higher incidence of vomiting on days 0 and 1 (p = 0.002). CONCLUSIONS: TRIAL REGISTRATION: Registration number NCT00962338 ( www.clinicaltrials.gov ).
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Authors | M A Tolver, P Strandfelt, J Rosenberg, T Bisgaard |
Journal | Hernia : the journal of hernias and abdominal wall surgery
(Hernia)
Vol. 17
Issue 3
Pg. 321-7
(Jun 2013)
ISSN: 1248-9204 [Electronic] France |
PMID | 22790511
(Publication Type: Comparative Study, Controlled Clinical Trial, Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Analgesics, Opioid
(therapeutic use)
- Cough
(complications)
- Fatigue
(etiology)
- Female
- Hernia, Inguinal
(surgery)
- Herniorrhaphy
(adverse effects)
- Humans
- Laparoscopy
(adverse effects)
- Male
- Middle Aged
- Pain Measurement
- Pain, Postoperative
(drug therapy, etiology)
- Postoperative Nausea and Vomiting
(etiology)
- Sex Factors
- Time Factors
- Young Adult
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